| NPI | 1316249402 |
|---|---|
| Former Name | ANN ELIZABETH NEWMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0005702) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 002149) |
| 363A00000X Physician Assistant (Licence: IL 085.003838) | |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2015-11-16 |